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New Mexico Professional Dental Associates, Inc

General Practice Dentistry in Rio Rancho, NM · enumerated 2013 · authorized official Kim Wilson, Credentialing Supervisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255764650

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Registry record

Entity type Organization (Type 2)
Legal business name New Mexico Professional Dental Associates, Inc
Other name <Unavail>
Parent organization New Mexico Professional Dental Associates, Inc
Practice address 4120 Barbara Loop Se, Rio Rancho, NM, 87124
Phone (505) 892-8088
Enumeration date Aug 21, 2013
Last updated in NPPES Aug 21, 2013

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Kim Wilson
Title Credentialing Supervisor
Phone (217) 540-5170

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is New Mexico Professional Dental Associates, Inc located?
The practice location on file with NPPES is in Rio Rancho, NM.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-08-21. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-08-21.